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This document serves as a record for immunizations administered at the Fairfax County Health Department, including consent for care and testing.
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How to fill out FAIRFAX COUNTY HEALTH DEPARTMENT – SERVICE SLIP
01
Obtain a copy of the FAIRFAX COUNTY HEALTH DEPARTMENT – SERVICE SLIP form.
02
Fill out your personal information at the top of the form, including your name, address, and contact number.
03
Indicate the specific service you are requesting from the health department.
04
Provide any required details related to the service, such as dates, locations, or service-specific information.
05
Sign and date the form at the bottom.
06
Submit the completed service slip either in person or through the designated submission method outlined by the health department.
Who needs FAIRFAX COUNTY HEALTH DEPARTMENT – SERVICE SLIP?
01
Residents of Fairfax County seeking health department services.
02
Individuals requiring public health assessments or inspections.
03
Those needing vaccinations or health records.
04
Community members requesting specific health programs or educational materials.
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How do I contact Fairfax County?
Contact us! 703-FAIRFAX (703-324-7329) (phone, email and social media) is a contact center for general questions from 8 a.m. to 4:30 p.m., Monday to Friday.
How do I get a full STI panel at Fairfax?
STI Testing Clinic Information To make an appointment (including same day appointment), please call 703-246-7100 so our staff can find a time and location that works best for you. HIV testing also is available. Learn more about HIV testing services.
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What is FAIRFAX COUNTY HEALTH DEPARTMENT – SERVICE SLIP?
The FAIRFAX COUNTY HEALTH DEPARTMENT – SERVICE SLIP is a document used to request services from the Health Department, such as health inspections, permit applications, or other health-related services.
Who is required to file FAIRFAX COUNTY HEALTH DEPARTMENT – SERVICE SLIP?
Individuals or businesses seeking services from the Fairfax County Health Department, such as food establishments, swimming pools, or other public health facilities, are required to file the service slip.
How to fill out FAIRFAX COUNTY HEALTH DEPARTMENT – SERVICE SLIP?
To fill out the service slip, individuals should provide their contact information, specify the type of service requested, and include any relevant details or documentation required for the request.
What is the purpose of FAIRFAX COUNTY HEALTH DEPARTMENT – SERVICE SLIP?
The purpose of the service slip is to streamline the process for requesting health department services, ensuring that all necessary information is collected for efficient processing and response.
What information must be reported on FAIRFAX COUNTY HEALTH DEPARTMENT – SERVICE SLIP?
The information that must be reported includes the requester’s name and contact information, a description of the service requested, the location of the service, and any additional details specific to the request.
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